I mit hmaah hian hmun dum emaw, web emaw a lo inphah chhuak tih i hmu em? Eng i hmu em? Posterior Vitreous Detachment chungchang hi i zir dawn nia!

Chibai! Dot dum te te, spider web ang chi thil te, i mit hmaa sam ang chi thil te te pawh i hmu tawh em? A châng chuan i mit kil aṭanga êng rawn chhuak pawh i hmu thei a ni lawm ni? Chûngte chuan a tibuai hle thei a ni. Hei hi mi tam takin an hlau thin. Chuvangin, he thil tawn hi i lo tawng tawh a nih chuan vawiin hian eng nge a chhan, a hlauhawm em, eng nge tih theih tih hi han sawi ila. Kan sawi tur condition chu Posterior Vitreous Detachment , a tawi zawngin PVD a ni.

He ‘Posterior Vitreous Detachment’ hi eng nge ni?

A awlsam zawngin kan mit hi ball te tak te ang a ni. He ball chhungah hian gel ang chi thil a khat a. Hei hi vitreous gel kan ti a . He gel hian mit chu a spherical shape pe a, mit chhunga thil nalh tak takte a venghim bawk. Mit hnung lamah hian nerve layer te tak te, sensitive tak a awm a. A hming chu retina an ti a . Camera chhunga film ang maiin a thawk a ni. Kan hmuh thlalakte hi he retina-a êng a tlak hian a lo piang a ni.

Tunah chuan, PVD chu mit chhunga vitreous gel chu a hring zauh zauh a, a tlem a , a hnung lama retina atanga a inthen a ni. Jelly ang chi thil, a hring chhuak a, zawi zawiin bang atanga inthen ang maiin han ngaihtuah teh. Hei hi kan tar chhoh zel avanga thleng fo thin natural process a ni.

He gel hi retina atanga a inthen chuan ka sawi tawh ang khan mit hmaah hian black, gray shadow, dot te te, leh worm -like thil te chu a lo inphah tan thin. Mi thenkhat phei chuan an mit kil atang pawhin êng an hmu thei. He gel hi retina atanga a inthen vek theih nan kar li atanga kar ruk vel a ngai thei. Hetiang spot hi a vawi khatna atana i hmuh tan chuan mit lam doctor pan a pawimawh hle.

PVD hi eng stage nge awm?

Hetiang dinhmun ``(PVD)`` an tih hi vawi khatah a thleng vek lo. Gel hi zawi zawiin stage engemaw zatah a chhuak thin. Hei hi kum upat ruala thil thleng (natural process) a ni.

Stage lian pali a awm a, chungte chu:

• Stage 1: I mit chhunga gel chu mit chhunga thil awm ber macula (retina-a chiang leh fiah taka kan hmuh theihna tura min puitu part) atang hian tlem a lo chhuak tan a. Mahse macula lairil a khur te tak te fovea an tih ah chuan a la inzawm reng a , chu chuan mit hmuhna chiang ber a pe a ni .
• Stage 2-naah chuan:Tunah chuan gel chu fovea lai tak atangin tlem a lo chhuak tawh a, mahse foveola an tih hmun tenau takah (chu pawh chu fovea lai takah a awm bawk) ah a la inzawm tlat mai thei.
• Stage 3: Hetiang dinhmunah hian gel chu macula atang hian a inthen vek tawh a, mahse mit atanga thluak thlenga light leh image information phurtu optic nerve chu a la inzawm tlat thung.
• Stage 4: Hei hi macula leh optic nerve pahnih atanga gel lak chhuah vek a nih chuan a ni. Hei hi complete PVD kan tih chu a ni.

Heng stage te hi chiang taka hriat hi i tan chuan chutiang chuan a pawimawh lo mai thei a, mahse doctor chuan i dinhmun a hriatthiam theih nan a pui ang.

He natna hi engtiang chiahin nge PVD tia koh a nih?

Hei hi i ngaihtuah aiin a tam zawk. Hei hi a takah chuan mi tam tak tuar thin natna tlanglawn tak a ni a, an tar chhoh zel chuan a thleng thin. Statistics atanga a lan dan chuan kum 66 leh 86 inkar mi 100 zinga 66 velin he natna hi an vei a ni. Chuvangin hei hi natna khirh tak, nangmah chauh khawihtu a ni tih ngaihtuah buai suh.

PVD natna lan chhuahna chu engte nge ni?

Tlem kan sawi tawh ang khan PVD natna lan chhuahna lian ber ber engemaw zat a awm a:

• Mit hmaa thil inphah lai hmuh (`(Floaters)`): Hei hi mi tam takin an report thin symptom ber a ni. Ṭhenkhat chuan chûngte chu rulhut te tak te, rulhut hrual, sam, a nih loh leh leivut ang maia lang niin an sawi. A châng chuan round emaw oval emaw ang maia hmuh theih an ni. Doctor-te chuan hengte hi ``(Weiss rings)`` tiin an ko \hin. Hengte hi an inher kual hian an ti thinrim hle a ni lawm ni?
• Lightes of light : Mi thenkhat chuan an mit kil atang hian light flashes an hmu nghal mai thei a, camera atanga flashes ang maiin an hmu nghal mai thei. Chungte chu an mit kil atanga hmuh theih a ni tlangpui. Hmun thimah an awm tam zawk. Heng flash te hi retina a inthen darh ruala gel atanga a inhnukdawk vang a ni.

A pawimawh ber chu heng symptoms te hi i neih chuan mit lam doctor pan nghal tur a ni a, a thar emaw a na zual emaw pawh nise, a chang chuan natna khirh zawk chhinchhiahna a nih theih avangin.

A tlangpuiin heng symptoms te hi a tlahniam zauh zauh a, thla engemaw zat hnuah i thluak hian a thiam tawh a, chutiang chuan a tibuai lo che.

Eng thilin nge PVD hi a thlen?

Kan naupan lai hian kum 20 vel ang bawkin kan mit hian a chhungah gel thuk tak, chiang tak a nei a. Hei hi vitreous humor an ti a.Chu chu. A dik tak chuan 99% chu tui a ni a, a bak chu `(collagen)` leh `(hyaluronic acid)` ang chi thil a ni. Kan tar chhoh zel chuan he gel-a tui awm zat hi a pung a, chu `(collagen)` fiber te chu a chhe vek a, gel chu tuiah a lo chang tan ta a ni. Tichuan, chutiang thickness a neih loh avangin gel chu automatic in a shrink a, `(retina)` atang chuan a inthen ta a ni. Hei hi boruak chhuah a nih chuan balloon hlui a tlahniam ang mai a ni.

Tute nge PVD vei theihna sang zawk?

Hei hi tar chakna pianphung a nih avangin kum 40 hnuai lam tan chuan a tlem hle. Kum 50 hnuah hmuh tam zawk a ni tlangpui a, kum upat danah hetiang hi a vei theihna chance a sang chho zel a ni.

Tin, mit pakhatin PVD a neih chuan kum khat atanga kum hnih chhungin mit dang pawhin a vei theihna chance a sang hle bawk.

Chu bâkah, thil dang ṭhenkhat chuan PVD vei theihna a tipung thei bawk:

• Hmuh theihna hnai tak nei (Myopia) tan . Chu chu hnai taka hmu thei mahse hla taka hmu thei te tihna a ni.
• Zunthlum vei tan (`( Diabetes Mellitus)`) .
• Tun hmaa mit hliam na tak tuar tawhte tan .
• Mit zai (entir nan, mitdel surgery) nei tawhte tan.

PVD hian mit a tichhe thei em?

Hei hi mi tam takin an zawh thin a ni. PVD hi a tlangpuiin a na lo . Tin, PVD chauh hian mit a tichhe lo.

Mahse, a châng chuan chu gel chu retina aṭanga a chhuah chuan a hrual nasat lutuk thei a, harsatna a awm thei bawk. Hei hi mit hmuhna a nghawng theih hun a ni.

Vanneihthlak takin heng harsatnate hi PVD vei mi 100 zinga 15 aia tlem loah a thleng thin. Hei hian mi tam tak chuan harsatna awm lovin PVD an nei mai tihna a ni a, hun kal zelah a natna lan chhuah dan chu a reh ta a ni.

Harsatna lo awm thei ber chu:

• Retinal tear : Gel a chhuah chuan retina chu a inzawm khawm thei a, a chhe thei bawk.
• Retinal detachment : Retina chhunga tear, tear kaltlangin tui a luang chhuak thei a, retina chu a hnuaia tissue atanga inthen vek thei a ni. Hei hi emergency a nih avangin enkawl vat a ngai a ni.
• A hole in the macula (`(Macular hole)`) : Kan sawi tawh ang khan `(macula)`-ah hian hole a lo awm thei a, chu chu mit hmuhna hmun nalh ber a ni.
• Macular pucker (or epiretinal membrane) : Macula chungah hian membrane te tak te a lo awm a, chu chuan a ti tlem a, mit a tichhe thin.

Hei vang hian PVD symptoms i neih tan veleh doctor pan tur kan ti a ni. Tichuan hetiang complication awm leh awm loh kan check thei ang.

Engtin nge doctor hian PVD hi a hriat theih ang?

PVD symptoms i neih chuan mit lam doctor (ophthalmologist emaw optometrist) i pan nghal tur a ni . I mit chu uluk takin a enfiah ang.

Test ber chu mit dilated examination a ni . He test-ah hian doctor chuan i mitah drop engemaw zat a dah a, mitmeng chu a tizau thin. Hei hian i mit chhunga retina, optic nerve, leh vitreous gel te chu a hmu thei a ni . Chumi atan chuan light leh lens bik a hmang a ni. He test hi a hrehawm vak lo a, mahse drop i hnawih hnuah hian stinging sensation tlem i nei thei a, darkar engemaw zat chhung chu i mit a fiah deuh thei bawk.

A tlem hle a, chu chu mit chhunga thisen tlemte a awm lai te, doctor-in mit chhung lam a hmuh that theih loh chuan ocular ultrasound an ti thei a ni . Hei pawh hi a hrehawm lo. Mit chhung lam en turin high-frequency sound wave a hmang a ni.

PVD enkawlna tur engte nge ni?

Hei pawh hi mi tam takin harsatna an neih a ni. Harsatna a awm loh chuan PVD hian enkawlna bik a mamawh lo. A chhan chu thilsiam (natural occurrence) a nih vang a ni.

Mahse, PVD avanga harsatna i tawh loh nan, i natna lan chhuah tirh khan mit enfiah a tha ber a, i doctor-in a rawt chuan kar li atanga kar ruk vel hnuah exam dang neih leh a tha ber. Hei hi follow-up an ti a ni.

He examination vawi hnihnaah hian doctor chuan thil engemaw zat a zawng a. Pakhat chu PVD hmuhchhuah hmasak ber a nih lai khan engmah a tlakchham em tih en a ni. A pahnihna chu harsatna thar a lo awm em tih en a ni. Entirnan, enfiahna hmasa berah khan retinal tear a awm lo mai thei a, mahse a hnuah a lo awm thei. A awm chuan enkawl vat theih a ni.

Floater-te tan surgery hi tih a tlem hle a, a chhan chu hlauhawmna (e.g., infection, cataracts, retinal detachment) a awm avangin. Mahse, mi thenkhat tan chuan floater hi a buaithlak em em a, nitin a thawk thei lo a nih chuan vitrectomy an tih procedure hmangin gel chu lakchhuah theih a ni. Mahse, chutianga i tih hmain vitreoretinal surgeon , retina leh mitmeng lama tui tak surgeon rawn hmasa phawt a tha ber.

PVD lo awm tur ven dan tur a awm lo em ni?

Vanduaithlak takin PVD ven dan tur a awm lo. Kan sam a sen emaw, kan vun a hrual emaw ang bawkin tar chakna pianphung a ni .

Mahse, i tih theih pawimawh ber chu, i mit hmuh danah inthlak danglamna thar i hmuh chuan, .(Entirnan: Floater tam tak hmuh thut, êng tam tak hmuh, i mit hmuhna hmun thenkhat chu screen dum in a khuh ang maia hriat) Mit lam doctor hriattir nghal a pawimawh. Hei hian mit natna dang a awm leh awm loh hriat theih nan a pui ang a, harsatna a awm a nih chuan enkawl tan nghal theih a ni bawk.

PVD vei tan chuan hmalam hun eng nge awm ang?

PVD vei te hian harsatna awm lovin an hna pangngai an thawk thei tlangpui. Motor khalh, lehkha chhiar, computer-a hnathawh ang chi thilah harsatna a awm lo.

Hetiang dinhmun hi bo lo mah se, hun kal zelah floater leh flash te hi a tlahniam zauh zauh thei a, a tawpah chuan hmuh theih loh khawpin a awm thei a ni. Hei hi a chhan chu i thluak hian floater te hi a thiam zauh zauh a, ngaihthah a zir thin vang a ni.

PVD hmasa ber atanga kum khat emaw kum hnih emaw chhungin mit dang ah PVD a lo awm a rinawm hle. Mit dangah symptoms a awm chuan chu mit pawh chu enfiah tur a ni a, retinal tear a awm loh nan.

Mi tam zawk chuan retinal tear ang chi complication an nei lo. Mahse, natna khirh zawk i neih loh nan mit enfiah a pawimawh.

In lama heng thil tui chunga awmte hmuh theihna tihtlem nan hian tih theih ka nei em?

PVD enkawlna bik awm lo mah se, heng thilte hian a kaihhnawih floater leh flash-te harsatna tihziaawmna kawngah a pui thei a ni:

• Zawi zawiin i mit chu chunglam, hnuai lam, sir lehlamah, leh circle-ah sawn rawh. Floater chu i enna hmun atang chuan a kal bo mai thei.
• Smartphone, computer, TV ang chi screen êng tihtlem. Hei hian floater hmuh theihna a ti tlem thei.
• Doctor-in mittui tlakna glasses a pek chu uluk takin hmang rawh.
• Sunglass hi hmun eng tha takah vuah la, a bik takin ni chhuahna hmuna chhuah dawnin sunglass vuah thin ang che . Hei hian floater hmuh theihna a ti tlem thei.

Chûngte chuan hahdamna tam tak pe lo mah se, a rilru hahna chu tlem a tihziaawm thei a ni.

PVD hi natna khirh tak a ni em?

``Posterior Vitreous Detachment'' tih hming hi a hlauhawm deuh thei. Mahse vanneihthlak takin hei hi a mah chauhin mit natna khirh tak a ni lo. Kan tar chhoh zel avanga thil thleng (natural process) a ni. United States ang ramah chuan kum upa lam zinga a chanve aia tam chuan an tawng thin.

He dinhmun ngei pawh hi na tak ni lo mah se, a thlen theih harsatnate chu a na hle thei a ni. Kan sawi tawh angin retinal tear emaw retinal detachment ang chi hi a lo awm a nih chuan enkawl vat a ngai a, a nih loh leh i mit a bo vek thei bawk.

Chuvangin PVD symptoms i neih chuan mit lam doctor pan a, thil pawi zawk a awm leh awm loh, a nih loh leh enkawl a ngai em tih hriat a pawimawh hle. Ngaihtuah buai suh, a tam zawkah chuan thil awlsam tak a ni.

Chuti a nih chuan he thil atang hian eng thil nge kan hriat reng tur?

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur chu han khaikhawm ila:

• (PVD) chu kan tar chhoh zel a, mit chhunga gel leh mit (retina) inthen darh hi a ni. Hei hi a tam hle a, ngaihtuahawm tur a awm lo.
• I mit hmaah floater, black spot, light flash i neih chuan hengte hi PVD symptoms a ni thei.
• Heng symptoms te hi a lo lang nghal a, a thar a nih chuan, a lo pung a nih chuan mit lam doctor i pan ngei ngei tur a ni. PVD hi hlauhawm lo mah se, a chang chuan harsatna lian tak tak a thlen thei a, chu chu retinal tears ang chi te hi a ni.
• A tlangpuiin PVD hian enkawlna bik a mamawh lo. Mahse, doctor-in a tih angin follow-up test neih a pawimawh a, harsatna a awm leh awm loh enfiah a pawimawh.
• Heng symptoms te hi hun kal zelah a reh ang. I thluak chuan a thiam tawh ang. Chuvangin dawhtheih a pawimawh a, hlauhthawn loh a pawimawh.
• I mit enkawl hi i mawhphurhna a ni! A hun takah damdawi lam thurawn zawng rawh.

He thu hi i tanpui theih ka beisei. Zawhna dang i neih chuan doctor nen inbiakna neih theihnghilh suh.